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Form 620 Lobbying Firm Activity Authorization Form. This is a California form and can be use in Fair Political Practices Commission Statewide.
Tags: Form 620 Lobbying Firm Activity Authorization, 602, California Statewide, Fair Political Practices Commission
Lobbying Firm
Activity Authorization
CALIFORNIA
FORM
602
FAIR POLITICAL PRACTICES COMM.
Filing Requirements:
A Form 602 (Lobbying Firm Activity Authorization)
must be completed and verified by each person who
employs or contracts with a lobbying firm.
The Form 602 must be attached to the lobbying firm’s
Form 601 (Registration Statement) or, when adding a new
client or employer to the firm’s existing registration, to
Form 605 (Amendment to Registration).
The person who employs the lobbying firm must date and
sign the verification. In the case of a business entity or
organization, the verification must be signed by a
responsible officer of the entity or organization or by an
attorney or a certified public accountant who acts as an
agent for the entity or organization.
Lobbying Firms that Subcontract a Client:
A lobbying firm that subcontracts to provide lobbying
services to clients of another lobbying firm must identify
the subcontracting lobbying firm and the client(s) on
whose behalf it will lobby. A Form 602 signed by a
representative of the subcontracting lobbying firm must
be included with the contracted firm’s registration. The
subcontracted client is not required to file a Form 602. In
addition, it is not necessary to complete the Nature and
Interests section for subcontract clients.
Additional Information
Refer to the Lobbying Disclosure Information Manual for
additional information and information required to be
provided to you pursuant to the Information Practices Act
of 1977.
FPPC Form 602 (7/98)
For Technical Assistance: 916/322-5660
American LegalNet, Inc.
www.FormsWorkflow.com
Lobbying Firm
Activity Authorization
Legislative Session
(Government Code Section 86104)
CALIFORNIA
FORM
602
FAIR POLITICAL PRACTICES COMM.
Check one box, if applicable
For Official Use Only
Lobbyist Employer
(Insert Years)
(Gov. Code Section 82039.5)
Lobbying Coalition
(FPPC Regulation 18616.4)
of
Page
Type or Print in Ink
EFFECTIVE DATE:
NAME OF FILER:
TELEPHONE NUMBER:
BUSINESS ADDRESS: (Number and Street)
(City)
(State)
(Zip Code)
(
)
FAX NUMBER: (Optional)
(
)
E-MAIL: (Optional)
MAILING ADDRESS: (If different than above.)
I hereby authorize
(Name of Lobbying Firm)
(Business Address)
to engage in the activities of a lobbying firm (as defined in California Government Code Section
82038.5 and 2 Cal. Code of Regs. Section 18238.5) on behalf of the above named employer.
If you are authorizing another lobbying firm to lobby on behalf of your firm’s client(s), provide the name(s) of
the client(s) below. (It is not necessary to complete the Nature and Interests section.)
NAME OF SUBCONTRACTED CLIENT:
NAME OF SUBCONTRACTED CLIENT:
NAME OF SUBCONTRACTED CLIENT:
NAME OF SUBCONTRACTED CLIENT:
VERIFICATION
I have used all reasonable diligence in preparing this Statement. I have reviewed this Statement and to the best of my
knowledge the information contained herein is true and complete.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
By
DATE
SIGNATURE OF RESPONSIBLE OFFICER
Name of Responsible Officer
PRINT OR TYPE
Title
FPPC Form 602 (7/98)
For Technical Assistance: 916/322-5660
American LegalNet, Inc.
www.FormsWorkflow.com
Lobbying Firm
Activity Authorization
CALIFORNIA
FORM
Type or Print in Ink
SEE INSTRUCTIONS ON REVERSE
602
FAIR POLITICAL PRACTICES COMM.
NAME OF FILER:
Page
of
Nature and Interests of Lobbyist Employer
Check one box only:
INDUSTRY, TRADE OR
PROFESSIONAL ASSN.
(Complete only Parts C and E)
BUSINESS ENTITY
(Complete only Parts B
and E)
INDIVIDUAL (Complete
only Parts A and E)
A. Individual
OTHER (e.g., lobbying
coalition) (Complete only
Parts D and E)
.............................
2. Description of business activity in which you or your employer are
engaged:
1. Name and address of employer (or principal place of business if
self-employed):
B. Business Entity
Description of business activity in which engaged:
C. Industry, Trade or Professional Association
............................
2. Specific description of any portion or faction of the industry, trade, or
profession which the association exlusively or primarily represents:
1. Description of industry, trade or profession represented:
...........................................................................................................................................................................................
3. Number of members in association (check appropriate box)
50 OR LESS (provide names of all members on an attachment.)
MORE THAN 50
............................
D. Other
2. Description of any trade, profession, or other group with a common
economic interest which is principally represented or from which
membership or financial support is principally derived:
1. Statement of nature and purposes:
E. Industry Group Classification
Check one box which most accurately describes the industry group which you represent. See instructions on reverse.
AGRICULTURE
LEGAL
EDUCATION
PUBLIC EMPLOYEES
GOVERNMENT
POLITICAL ORGANIZATIONS
BUSINESS (Check one of the following sub-categories.)
ENTERTAINMENT/RECREATION
OIL AND GAS
FINANCE/INSURANCE
PROFESSIONAL/TRADE
LODGING/RESTAURANTS
REAL ESTATE
HEALTH
UTILITIES
MANUFACTURING/INDUSTRIAL
TRANSPORTATION
LABOR UNIONS
OTHER:
MERCHANDISE/RETAIL
OTHER:
(Describe in detail)
(Specific Description)
FPPC Form 602 (7/98)
For Technical Assistance: 916/322-5660
American LegalNet, Inc.
www.FormsWorkflow.com
Instructions for Nature and
Interests of Lobbyist Employer
Nature and Interests of Lobbyist Employer:
Check the box that indicates whether you are an individual, a business
entity, an industry, trade or professional association, or some other
type of entity, such as a lobbying coalition, a religious organization,
a political or public interest organization, or a recreational club.
Complete Part A, B, C, or D, whichever is applicable, and then
complete Part E.
Industry Group Classification
All filers must complete Section E. Check one box that most
accurately describes the industry group you represent. Industry,
trade, or professional associations should check the box that most
accurately describes the industry group of its members (e.g., an
association of hospitals would be classified as “Health,” and an
association of mortgage banking entities would be classified as
“Business-Finance/Insurance”). Following are some additional
examples:
CALIFORNIA
FORM
602
FAIR POLITICAL PRACTICES COMM.
The category “Business” has been divided into several subcategories, including:
Entertainment/Recreation: Includes baseball, football teams
and country clubs, casinos, horse breeders, race tracks, music
companies, and theaters. Does not include hobby or recreational
clubs which are not business-related.
Finance/Insurance: Includes health insurance companies,
collection agencies, credit services, mortgage bankers, title
companies, etc.
Lodging/Restaurants:
resorts, etc.
Includes bars, hotels, night clubs,
Manufacturing/Industrial: Includes beverage manufacturers,
canneries, cement companies, chemical laboratories, timber
companies, wineries, etc.
•
Agriculture: Includes growers, ranches, vineyards, flower
growers, fertilizer manufacturers, etc.
Merchandise/Retail: Includes beverage distributors, coin
dealers, florists, home furnishing stores, pharmacies, etc.
•
Education: Includes educators, private and public schools, and
education unions.
Oil and Gas: Includes drilling contractors, exploration
companies, gas and oil companies, etc.
•
Government: Includes cities, counties, and all other publiclyfunded agencies.
•
Health: Includes physicians, dentists, optometrists, chiropractors, nurses, etc., as well as ambulance companies, convalescent
homes, pharmacists, pharmaceutical manufacturers, therapists,
hospitals, etc.
Professional/Trade: Includes individuals or business entities,
or organizations representing accountants, architects, auctioneers, bail agents, building trades, construction interests, court
reporters, engineers, photographers, travel agents, stock brokers,
plumbers, veterinarians, etc. NOTE: A trade association
representing ranchers would be classified as “Agriculture,” not
as “Professional/Trade.”
•
Labor Unions: Does not include public employee and education
unions.
Real Estate: Includes developers, rental companies, real estate
companies, property management, etc.
•
Legal: Includes attorneys and attorney associations, except
those representing public employee attorneys.
Transportation: Includes airlines, moving and storage,
railroads, shipping, trucking, etc.
•
Political Organizations: Includes political committees and
clubs.
•
Public Employees: Includes all public employee associations,
organizations, and unions (except education unions), including
district attorneys, public defenders, firefighters, judges, police,
sheriffs, etc.
Other: Describe your business interest if it does not fall into any
of the other business categories (e.g. apartment owners, funeral
homes, mobile home parks, publishers, refuse companies,
retirement homes, waste management, etc.). NOTE: This
subsection is different from the “Other” category identified in the
Industry Group Classification which is for use by filers whose
activities are not business-related.
•
Utilities: Includes telephone, power, and water companies.
•
Other: Describe. (After reviewing your description, the
Secretary of State may place you in one of the classifications
described above or assign you to the miscellaneous category in
the Directory of Lobbyists, Lobbying Firms and Lobbyist
Employers.)
FPPC Form 602 (7/98)
For Technical Assistance: 916/322-5660
American LegalNet, Inc.
www.FormsWorkflow.com